Category A - Diapers(w/tabs) - 186 / Month
Category B - Urinary Pad/Booster/Liner - 50 / Month
Category C - Underwear/Pull-on - 186 / Month
Category D - Disposable Bed Pads - 150 / Month
Category E - Disposable Gloves & Sanitary Wipes (Requires Prior Authorization)
Category F - Nutritional Shake - 4CS (24/CS) / Month
Combinations of above
A & C - Total Max 186